Provider Demographics
NPI:1295225027
Name:LOUGHRIDGE, FLINT LEE JR (DC)
Entity Type:Individual
Prefix:DR
First Name:FLINT
Middle Name:LEE
Last Name:LOUGHRIDGE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2432 EMERALD LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-3182
Mailing Address - Country:US
Mailing Address - Phone:214-773-4915
Mailing Address - Fax:
Practice Address - Street 1:8200 STONEBROOK PKWY STE 210
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-5588
Practice Address - Country:US
Practice Address - Phone:972-335-9733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13819111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor